Online Services – Proxy User Access

Online Services Application for Proxy User Access

1. Proxy Access Overview:

   – Proxy access allows someone else (e.g., a parent, guardian, or carer) to access a patient’s medical records under specific circumstances.

2. Age and Consent:

   – For patients aged 11 or over, they may grant permission for a parent or guardian to have proxy access.

   – Patients between 11 and 16 may have proxy access granted to a parent or guardian with legal responsibility if the GP determines the patient is not capable of making their own medical decisions.

   – For patients over 16, proxy access can be granted with the patient’s explicit consent.

3. NHS England Recommendation:

   – NHS England advises caution regarding parents’ access to a child’s medical record once the child reaches 11, as children vary in their ability to make independent decisions.

4. Policy of Everest House Surgery:

   – Proxy access for parents is withdrawn once the child reaches 11 unless exceptional circumstances apply.

   – From ages 11 to 16, parents with proxy access have limited access, mainly to manage demographic data, appointments, and repeat prescriptions. They cannot view past appointments or clinical records, but can view current repeat prescription records.

   – The surgery will monitor and record any concerns and may remove access if deemed necessary and in the best interest of the patient. This is reviewed annually.

5. Capacity to Consent:

   – Patients aged 16 or above are assumed to have the capacity to consent unless there are indications to the contrary.

   – Patients between 11 and 16, judged by their GP to have the capacity to consent, may also consent to grant proxy access to someone else.

This policy reflects a balance between patient autonomy, safeguarding minors’ privacy, and ensuring appropriate access to medical information for caregivers. It also highlights the importance of regular review and assessment of patients’ capacity to consent.

If you wish to apply for proxy user access click here for the form.